Organization
CAROLINA BEHAVIORAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WISE (ADMINISTRATIVE DIRECTOR)
(910) 295-8402
Entity
Organization
Contact information
Practice address
7400 CARMEL EXECUTIVE PARK DR STE 155, CHARLOTTE, NC 28226-8242
(844) 534-7208
Mailing address
PO BOX 1630, PINEHURST, NC 28370-1630
(910) 295-6007
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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